Pre-licensing visit·August 19, 2022

LPA Jeung followed up on initial pre-licensing inspection of 7/1/22, as no information has been received from administrator. Since 7/1/22, name change has been made official, and facility is operating as Pacifica Senior Living Burlingame; facility is being managed by Pacifica Senior Living and change of ownership is being processed. On 7/1/22, the following items were observed that needed to be addressed prior to licensure: 1. Emergency Disaster Plan (LIC610E) to be updated with location of fire extinguishers 2. Cage #4 in garage will be identified by signage - Cage #4 in garage is identified as such with a sign 3. Waste containers in kitchen are observed without tight fitting lids (per Section 87303 Maintenance and Operation) - Waste containers in kitchen are observed today without covers 4. Laundry machine on 3rd floor is out of order - 3rd floor laundry machine is operable 5. Visiting policy must be posted - Due to painting of walls in first floor common areas, there are currently no postings - Visitor policy is given to LPA today, and will be posted when common area walls are dry 6. There must always be an administrator designee on-site. - In-service training on chain of command was provided to staff on 7/14/22 - Copy of sign-in sheet is provided to LPA Mr. Nair to notify LPA Jeung to confirm that items #1 and #3 are addressed. A follow up visit and Component Three orientation to be conducted.